Individual
CASSIE LY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 US-51, PONCHATOULA, LA 70454
(985) 229-2112
Mailing address
409 N SPRUCE ST, HAMMOND, LA 70401-3155
(985) 974-1148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07260
LA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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